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Drug Pipeline Update D Drug Insights > March 2016 → New drug information ●● Briviact® (brivaracetam): UCB received Food and Drug Administration (FDA) approval for their new anticonvulsant. Briviact is approved as an adjunctive therapy for the treatment of partial-onset seizures in epilepsy patients over 16 years of age. It is similar in mechanism of action to Keppra® (levetiracetam) and generics. → Generic drug information ●● Oxistat® cream (oxiconazole cream, 1%): There is now a generic version of Pharmaderm’s Oxistat cream for the topical treatment of fungal infections. ●● Cyclogyl 0.5%® (cyclopentolate ophthalmic solution, 0.5%): Alcon’s Cyclogyl, used to produce mydriasis and cycloplegia, is now available generically. While the information in this newsletter is from sources we believe to be reliable, we do not warrant that the information in this document is free from error. Use it only as a guide. Statements regarding drugs or manufacturers are not intended as promotion; those statements should not be used to make assumptions about formulary status. Each trademarked drug name is the property of its respective owner. Drug Pipeline > March 2016 Page 2 New molecular entity approvals in the past twelve months Generic name Brand name Manufacturer Indication(s) Date approved* brivaracetam Briviact UCB Seizure February 2016 glycopyrronium Seebri™ Neohaler Novartis COPD November 2015 glycopyrronium/indacaterol Utibron™ Neohaler Novartis COPD November 2015 patiromer Veltassa™ Relypsa High potassium October 2015 insulin degludec/insulin aspart Ryzodeg™ Novo Nordisk Diabetes October 2015 insulin degludec Tresiba™ Novo Nordisk Diabetes October 2015 cariprazine Vraylar™ Allergan Bipolar and schizophrenia September 2015 rolapitant Varubi™ Tesaro Prevention and treatment of chemotherapy induced nausea and vomiting September 2015 flibanserin Addyi™ Sprout Pharmaceuticals Hypoactive sexual desire disorder (women) August 2015 sacubitril/valsartan Entresto™ Novartis Heart failure July 2015 brexpiprazole Rexulti™ Otsuka/Lundbeck Schizophrenia/depression July 2015 eluxadoline Viberzi™ Actavis IBS-D June 2015 ivabradine Corlanor® Amgen Heart failure April 2015 ® *Date indicates FDA approval date only. The product launch and marketing dates are determined by the approved product’s manufacturer. Drug Pipeline > March 2016 Page 3 Other new product approvals in the past twelve months Generic name Brand name Manufacturer Indication(s) Date approved* sumatriptan succinate injection Zembrace SymTouch™ Dr. Reddy’s Migraine February 2016 sumatriptan, intranasal powder Onzetra™ Xsail™ Avanir and Optinose Migraine February 2016 lesinurad Zurampic™ AstraZeneca Gout January 2016 amphetamine extended-release ODT Adzenys XR-ODT™ Neos Therapeutics ADHD January 2016 insulin human injection Humulin® R U-500 KwikPen Lilly Diabetes January 2016 methylphenidate extended-release QuilliChew ™ ER Pfizer ADHD December 2015 insulin glargine Basaglar™ Lilly Diabetes December 2015 naloxone Narcan® Adapt Pharma/ Lightlake Therapeutics Opioid overdose November 2015 calcipotriene/betamethasone, aerosol foam Enstilar® Leo Pharma Plaque psoriasis November 2015 meloxicam Vivlodex™ Iroko Pain October 2015 amphetamine Dynavel™ XR Tris Pharma ADHD October 2015 buprenorphine buccal film Belbuca™ Endo, Biodelivery Sciences Pain October 2015 aripiprazole lauroxil Aristada™ Alkermes Schizophrenia October 2015 morphine ER MorphaBond™ ER Inspirion Delivery Diabetes November 2014 aspirin, extended-release Durlaza™ New Haven Pharmaceuticals Cardiovascular prevention September 2015 empagliflozin and metformin Synjardy ™ Boehringer Ingelheim Diabetes August 2015 levetiracetam Spritam™ Aprecia Seizures August 2015 tacrolimus Envarsus ® XR Veloxis Pharma Prophylaxis of rejection in kidney transplant July 2015 doxycycline hyclate Targadox™ Journey Medical Corporation Treatment of various infections June 2015 duloxetine 40 mg Irenka™ Lupin Pharmaceuticals Major depressive disorder, generalized anxiety disorder, diabetic peripheral neuropathic pain, chronic musculoskeletal pain June 2015 olodaterol/tiotropium Stiolto™ Respimat® Boehringer Ingelheim COPD May 2015 paliperidone palmitate Invega Trinza™ Johnson & Johnson Schizophrenia May 2015 codeine/chlorpheniramine Tuzistra™ XR Tris Pharma/Vernalis Cough and cold relief May 2015 albuterol Proair® RespiClick Teva Asthma April 2015 ™ *Date indicates FDA approval date only. The product launch and marketing dates are determined by the approved product’s manufacturer. Drug Pipeline > March 2016 Page 4 Pipeline watch Generic name Brand name Manufacturer Indication(s) Anticipated FDA decision date gepirone ER n/a Fabre-Kramer Pharmaceuticals Depression 1Q2016 granisetron, extended-release Sustol™ Heron Therapeutics Nausea/vomiting 1st half 2016 safinamide Xadago ™ Newron Pharmaceuticals Parkinson’s disease March 2016 calcifediol Rayaldee Opko Health Chronic kidney disease and vitamin D insufficiency March 2016 glycopyrrolate/formoterol n/a AstraZeneca COPD 2Q2016 aripiprazole, digital tablet Abilify® Otsuka/Proteus Health Schizophrenia, bipolar disorder and major depression April 2016 dronabinol oral solution n/a Insys Therapeutics Cachexia April 2016 bromfenac 0.075% BromSite ™ InSite Vision Inflammation and pain associated with cataract surgery April 2016 methylnaltrexone Relistor® Valeant Opioid-induced constipation April 2016 pimavanserin Nuplazid™ Acadia Psychosis associated with Parkinson's disease April 2016 arbaclofen, extended-release Ontinua™ ER Osmotica Spasticity associated with multiple sclerosis May 2016 sodium zirconium cyclosilicate N/A ZS Pharma Treatment of hyperkalemia May 2016 buprenorphine implant Probuphine ™ Braeburn and Titan Maintenance treatment of opioid dependence May 2016 epinephrine N/A Adamis Pharmaceuticals Treatment of allergic reactions (anaphylaxis) June 2016 benzyhydrocodone/acetaminophen N/A KemPharm Treatment of acute pain (immediate release) June 2016 lixisenatide/insulin glargine LixiLan™ Sanofi Diabetes June 2016 testosterone N/A Lipocine Replacement therapy June 2016 Drug Pipeline > March 2016 Page 5 First generic approvals of top selling brand name drugs in the past twelve months Generic name Brand name Brand manufacturer Indication(s) Date approved* imatinib Gleevec Novartis Cancer (multiple indications) February 2016 dutasteride Avodart® GlaxoSmithKline BPH October 2015 memantine Namenda® Actavis Alzheimer’s disease July 2015 glatiramer Glatopa™ Teva Relapsing-remitting multiple sclerosis June 2015 aripiprazole Abilify® Bristol-Myers Squibb Schizophrenia, bipolar disorder and Tourette’s syndrome May 2015 ® *Date usually indicates FDA approval date. The product’s launch date is determined by the manufacturer. Generic approvals that do not come to market within three months of approval are listed and dated when they enter the market. Drug Pipeline > March 2016 Page 6 Other first generic approvals in the past twelve months Generic name Brand name Brand manufacturer Indication(s) Date approved* oxiconazole cream, 1% Oxistat cream Pharmaderm Fungal infection March 2016 cyclopentolate ophthalmic solution, 0.5% Cyclogyl 0.5% Alcon To produce mydriasis and cycloplegia March 2016 naftifine cream, 2% Naftin® Merz Pharmaceuticals Fungal infection February 2016 metformin modified release 24hr SR Glumetza Valeant Diabetes February 2016 norgestimate/ethinyl estradiol Ortho Tri-Cyclen Lo Jannsen Oral contraceptive January 2016 linezolid suspension Zyvox Pfizer Treatment of bacterial infection December 2015 repaglinide/metformin Prandimet™ NovoNordisk Diabetes December 2015 dutasteride/tamsulosin Jalyn GlaxoSmithKline BPH December 2015 trimipramine Surmontil Teva Antidepressant November 2015 nevirapine ER Viramune ® XR Boehringer Ingelheim HIV November 2015 paliperidone ER Invega® Janssen Schizophrenia October 2015 fluvastatin Lescol XL Novartis High cholesterol October 2015 testosterone transdermal gel, 1% Androgel AbbVie Low testosterone October 2015 pimozide Orap Teva Tourette’s syndrome October 2015 methyltestosterone Testred and Android Valeant Hormone replacement October 2015 memantine oral solution Namenda Actavis Alzheimer’s disease October 2015 rivastigmine TD patch Exelon TD patch Novartis Alzheimer’s disease September 2015 tretinoin gel, 0.05% Atralin® Valeant Acne September 2015 naproxen SR 24hr Naprelan® SR Almatica and Shionogi Pharma Pain September 2015 tetrabenazine Xenazine ® Lundbeck Chorea associated with Huntington’s disease August 2015 pramipexole extended-release Mirapex® Boehringer Ingelheim Parkinson’s disease August 2015 phenoxybenzamine Dibenzyline® Concordia Pheochromocytoma August2015 acetaminophen/caffeine/dihydrocodeine Trezix® Wraser Pharmaceuticals Pain August2015 megestrol acetate suspension Megace ® ES Par For the treatment of appetite loss August2015 budesonide inhalation susp, 1 mg/2 mL Pulmicort® Respules AstraZeneca Respiratory August2015 almotriptan Axert® Jannsen Migraine July 2015 pyridostigmine bromide Mestinon Timespan Valeant Myasthenia gravis July 2015 bexarotene Targretin ® Valeant Cutaneous t-cell lymphoma July 2015 alosetron Lotronex ® Prometheus IBS-D June 2015 naftifine cream, 1% Naftin Merz Fungal infections (topical) June 2015 ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® risedronate Actonel Actavis Osteoporosis June 2015 norethindrone/ethinyl estradiol Femhrt® Actavis Menopause symptoms May 2015 tolcapone Tasmar® Valeant’ Parkinson’s disease May 2015 benzonatate Zonatuss ® Vertical Relief of cough May 2015 metoclopramide ODT Metozolv ODT Salix Relief of GERD April 2015 norethindrone/ethinyl estradiol/FE Generess FE Warner Chilcott Oral contraceptive April 2015 ® ® ® *Date usually indicates FDA approval date. The product’s launch date is determined by the manufacturer. Generic approvals that do not come to market within three months of approval are listed and dated when they enter the market. Drug Pipeline > March 2016 Page 7 Generics of top selling brand drugs potentially available soon Generic name Brand name Brand manufacturer Indication(s) To market date* rosuvastatin Crestor AstraZeneca High cholesterol May 2016 olmesartan and olmesartan/HCTZ Benicar®/ Benicar® HCT Daiichi-Sankyo High blood pressure October 2016 ® 03002301 *Expected launch dates are predictions made by Prime Therapeutics based on industry information. 2992-A1 © Prime Therapeutics LLC 03/16